*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter - as a primary diagnosis code | S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.31 | |
| Readmission Rate (%) | 50.63 | |
| Unplanned Readmission Rate (%) | NA | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,165 | |||
| Total Hospitalizations with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 25 | |||
| DRG Share of Total Hospitalizations | 0.03 | |||
| % of Total ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter in DRG | 26.04 | |||
| Avg LOS at DRG | 8.45 | |||
| Avg LOS with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 10.48 | |||
| Readmission Rate at DRG | 43.41 | |||
| Readmission Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 76.19 | |||
| Unplanned Readmission Rate at DRG | 8.76 | |||
| Unplanned Readmission Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | |||
| Total Medicare payments at DRG | $378,975,481 | |||
| Total Medicare payments with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $888,647 | |||
| Total Medicare payment per Day at DRG | $4,018 | |||
| Total Medicare payment per Day with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $3,392 | |||
| Total Medicare payment per Hospitalization at DRG | $33,943 | |||
| Total Medicare payment per Hospitalization with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $35,546 | |||
| Total Medicare Charges at DRG | $1,826,793,767 | |||
| Total Medicare Charges with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $4,506,209 | |||
| Avg Charges at DRG | $163,618 | |||
| Avg Charges with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $180,248 | |||
| Mortality Rate at DRG | 3.84 | |||
| Mortality Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | |||
| SNF Discharge Rate at DRG | 26.49 | |||
| SNF Discharge Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | |||
| Home Discharge Rate at DRG | 23.25 | |||
| Home Discharge Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 471: CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 472: CERVICAL SPINAL FUSION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 028: SPINAL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 029: SPINAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) OR SPINAL NEUROSTIMULATORS | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,165 | ||||
| Total Hospitalizations with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 40 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter in DRG | 14.98 | ||||
| Avg LOS at DRG | 8.45 | ||||
| Avg LOS with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 11.22 | ||||
| Readmission Rate at DRG | 43.41 | ||||
| Readmission Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 62.86 | ||||
| Unplanned Readmission Rate at DRG | 8.76 | ||||
| Unplanned Readmission Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | ||||
| Total Medicare payments at DRG | $378,975,481 | ||||
| Total Medicare payments with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $1,436,600 | ||||
| Total Medicare payment per Day at DRG | $4,018 | ||||
| Total Medicare payment per Day with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $3,200 | ||||
| Total Medicare payment per Hospitalization at DRG | $33,943 | ||||
| Total Medicare payment per Hospitalization with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $35,915 | ||||
| Total Medicare Charges at DRG | $1,826,793,767 | ||||
| Total Medicare Charges with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $8,017,783 | ||||
| Avg Charges at DRG | $163,618 | ||||
| Avg Charges with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $200,445 | ||||
| Mortality Rate at DRG | 3.84 | ||||
| Mortality Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 26.49 | ||||
| SNF Discharge Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | ||||
| Home Discharge Rate at DRG | 23.25 | ||||
| Home Discharge Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 473: CERVICAL SPINAL FUSION WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 003: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PDX EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURE | DRG 551: MEDICAL BACK PROBLEMS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 63,286 | ||
| Total Hospitalizations with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 17 | ||
| DRG Share of Total Hospitalizations | 0.19 | ||
| % of Total ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter in DRG | 6.37 | ||
| Avg LOS at DRG | 1.72 | ||
| Avg LOS with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | 3.06 | ||
| Readmission Rate at DRG | 8.56 | ||
| Readmission Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | ||
| Unplanned Readmission Rate at DRG | 3.51 | ||
| Unplanned Readmission Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | ||
| Total Medicare payments at DRG | $814,610,584 | ||
| Total Medicare payments with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $217,499 | ||
| Total Medicare payment per Day at DRG | $7,479 | ||
| Total Medicare payment per Day with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $4,183 | ||
| Total Medicare payment per Hospitalization at DRG | $12,872 | ||
| Total Medicare payment per Hospitalization with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $12,794 | ||
| Total Medicare Charges at DRG | $4,641,508,729 | ||
| Total Medicare Charges with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $1,464,710 | ||
| Avg Charges at DRG | $73,342 | ||
| Avg Charges with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | $86,159 | ||
| Mortality Rate at DRG | NA | ||
| Mortality Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | ||
| SNF Discharge Rate at DRG | 3.8 | ||
| SNF Discharge Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA | ||
| Home Discharge Rate at DRG | 81.78 | ||
| Home Discharge Rate with ICD S13141A - Dislocation of C3/C4 cervical vertebrae, initial encounter | NA |